ICD 10 Code for Insulin Resistance
Insulin resistance is a condition that affects the way the body responds to insulin, a hormone that regulates blood sugar levels. Insulin resistance can cause high blood sugar levels and increase the risk of developing type 2 diabetes, metabolic syndrome, and cardiovascular diseases.
We will explain what is the ICD 10 code for insulin resistance, how to use it, and what are the common causes and symptoms of insulin resistance.
What is the ICD 10 code for insulin resistance?
ICD 10 stands for International Classification of Diseases, 10th Revision. It is a system of codes that classify diseases and health conditions for medical records, billing, and research purposes. ICD 10 codes are updated every year by the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC).
The ICD 10 code for insulin resistance is E88.81. This code is valid for the fiscal year 2023, from October 1, 2022, to September 30, 2023. It can be used in all HIPAA-covered transactions, such as claims, reports, and electronic health records.
The code E88.81 belongs to the category E88, which covers other and unspecified metabolic disorders. Metabolic disorders are conditions that affect the metabolism of carbohydrates, fats, proteins, or other substances in the body.
The code E88.81 has the following synonyms or alternative names:
– Drug resistance to insulin
– Dysmetabolic syndrome X
– Insulin resistance
– Metabolic syndrome X
How to use the ICD 10 code for insulin resistance?
The ICD 10 code for insulin resistance should be used to report a diagnosis of insulin resistance for reimbursement purposes. The code should be based on the documentation of the physician or other qualified healthcare provider who performed the evaluation and treatment of the patient.
The code should be assigned and reported only once per encounter or visit. If the patient has more than one type of metabolic disorder or other conditions related to insulin resistance, such as diabetes mellitus (E08-E13), obesity (E66.-), or hypertension (I10-I15), the coder should report the most specific code available.
The code should be accompanied by additional codes to identify:
– The underlying cause of insulin resistance, such as genetic factors (E88.89), medications (T36-T50), infections (A00-B99), or malignancies (C00-D49)
– The severity of insulin resistance, such as mild (R73.01), moderate (R73.02), severe (R73.03), or unspecified (R73.09)
– The type of abnormal glucose level associated with insulin resistance, such as impaired fasting glucose (R73.01), impaired glucose tolerance (R73.02), prediabetes (R73.03), or diabetes mellitus (E08-E13)
What are the common causes and symptoms of insulin resistance?
Insulin resistance can be caused by various factors that affect the way the body responds to insulin or produces insulin. These include:
– Genetic factors: Some people inherit genes that make them more prone to develop insulin resistance or diabetes mellitus.
– Dietary factors: Eating too much sugar, refined carbohydrates, saturated fat, or calories can increase blood sugar levels and impair insulin action.
– Lifestyle factors: Being physically inactive, smoking, drinking alcohol, or having chronic stress can affect insulin sensitivity and secretion.
– Medical factors: Certain diseases or conditions can cause or worsen insulin resistance. These include polycystic ovary syndrome (PCOS), Cushing’s syndrome, acromegaly, hypothyroidism, liver disease, kidney disease, or HIV infection.
– Medications: Certain drugs can interfere with insulin action or production. These include steroids, oral contraceptives, antipsychotics, diuretics, beta-blockers, or statins.
Signs and Symptoms of Insulin Resistance
Insulin resistance may not cause any symptoms in some people. However, some people may experience signs or symptoms related to high blood sugar levels or complications of insulin resistance. These include:
– Increased thirst or urination
– Increased hunger or weight gain
– Fatigue or weakness
– Blurred vision or headaches
– Skin problems such as acanthosis nigricans (dark patches on the neck, armpits, or groin) or skin tags
– Abdominal pain or bloating
– Irregular periods or infertility in women
– Erectile dysfunction or low libido in men
Insulin resistance can increase the risk of developing type 2 diabetes mellitus, metabolic syndrome, and cardiovascular diseases. Metabolic syndrome is a cluster of metabolic risk factors that include abdominal obesity, high blood pressure, high blood sugar, high triglycerides, and low HDL cholesterol. Cardiovascular diseases are diseases that affect the heart and blood vessels, such as coronary artery disease, heart attack, stroke, or peripheral artery disease.
Diagnosis of Insulin Resistance:
- Medical history and physical examination: The doctor will inquire about symptoms and risk factors, and perform a physical examination to look for signs such as obesity, acanthosis nigricans (darkened patches of skin), or signs of metabolic syndrome.
- Fasting glucose and insulin levels: Blood tests can measure fasting glucose and insulin levels. Insulin resistance is often indicated by elevated fasting insulin levels.
- Oral glucose tolerance test (OGTT): This test involves measuring blood glucose levels before and after consuming a glucose-rich drink. It helps evaluate the body’s ability to handle glucose and identify insulin resistance.
- Hemoglobin A1c (HbA1c) test: This test provides an average blood glucose level over the past few months and can help diagnose prediabetes or diabetes, conditions often associated with insulin resistance.
Treatment of Insulin Resistance:
- Lifestyle changes: Modifying diet and exercise habits is a key aspect of managing insulin resistance. Focus on consuming a balanced diet, reducing your intake of processed foods and added sugars, increasing fiber intake, and incorporating regular physical activity into your routine.
- Weight loss: Achieving and maintaining a healthy weight can improve insulin sensitivity. Losing weight through a combination of a healthy diet and regular exercise can be beneficial.
- Medications: In some cases, medications may be prescribed to help manage insulin resistance. These may include metformin, thiazolidinediones, or medications that address other underlying conditions like hypertension or dyslipidemia.
Prevention of Insulin Resistance:
- Maintain a healthy weight: Avoid excess weight gain, and strive to maintain healthy body weight through a balanced diet and regular physical activity.
- Exercise regularly: Engage in regular physical activity, such as aerobic exercises, strength training, or high-intensity interval training, to improve insulin sensitivity.
- Eat a balanced diet: Focus on consuming a diet rich in whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables. Limit intake of sugary foods and beverages, refined carbohydrates, and saturated and trans fats.
Complications of Insulin Resistance:
- Type 2 diabetes: If insulin resistance is left unmanaged, it can progress to type 2 diabetes, a chronic condition characterized by high blood glucose levels.
- Cardiovascular disease: Insulin resistance is associated with an increased risk of developing cardiovascular diseases, including heart disease, high blood pressure, and stroke.
- Polycystic ovary syndrome (PCOS): Insulin resistance is closely linked to PCOS, a hormonal disorder in women that can lead to menstrual irregularities, infertility, and other complications.
- Non-alcoholic fatty liver disease (NAFLD): Insulin resistance can contribute to the development of NAFLD, a condition characterized by excess fat accumulation in the liver.
- Sleep apnea: Insulin resistance is associated with an increased risk of sleep apnea, a sleep disorder characterized by interrupted breathing during sleep.
Conclusion
Insulin resistance is a condition that affects the way the body responds to insulin, a hormone that regulates blood sugar levels. The ICD 10 code for insulin resistance is E88.81, which should be used to report a diagnosis of insulin resistance for reimbursement purposes. The code should be based on the documentation of the physician or other qualified healthcare provider who performed the evaluation and treatment of the patient.
The code should be accompanied by additional codes to identify the underlying cause, the severity, and the type of abnormal glucose level associated with insulin resistance. Insulin resistance can be caused by various factors that affect the way the body responds to insulin or produces insulin. Insulin resistance can cause symptoms such as increased thirst, hunger, fatigue, blurred vision, skin problems, abdominal pain, irregular periods, or erectile dysfunction. Insulin resistance can increase the risk of developing type 2 diabetes mellitus, metabolic syndrome, and cardiovascular diseases.
References
(1) What is the ICD 10 code for insulin resistance?.
(2) 2023 ICD-10-CM Diagnosis Code E88.81: Metabolic syndrome.
(3) 2023 ICD-10-CM Diagnosis Code R73.09: Other abnormal glucose.
(4) What is the ICD-10 code for insulin resistance? – Heimduo.
(5) What is the ICD 10 code for insulin resistance? – TipsFolder.com.